Surgery-first orthognathic treatment of an adult patient with unilateral cleft lip-palate and multiple missing teeth: a case report

Introduction: The comprehensive treatment approach and outcomes of a patient with cleft lip and palate was presented in this case report. Case presentation: A 31-year-old man with unilateral cleft lip and palate(UCLP) had a chief complaint of his mandibular prognathism and asymmetric smile. His clinical and radiographic evaluation showed a Class III skeletal relationship, multiple missing teeth, mandibular anterior occlusal canting, 6 mm of negative overjet and 16 mm overbite. "Surgery first orthognathic approach" was planned including, short-term orthodontic treatment, maxillary advancement and segmental mandibular subapical osteotomy. Conclusion: At the end of the treatment, a functional occlusion, a harmonious profile, and patient satisfaction were achieved. 19 South Eur J Orthod Dentofac Res Baser Keklikci H. et al. Surgery first Corresponding Author: Hasibe Baser Keklikci Department of Orthodontics, Faculty of Dentistry, Erciyes University, 38039 Melikgazi, Kayseri, Turkey e-mail: hasibebaser91@gmail.com Surgery-first orthognathic treatment of an adult patient with unilateral cleft lip-palate and multiple missing teeth: a case report